Explain the need to rest (usually prescribed for 4 to 12 weeks, depending on the severity of the disease and health care provider’s preference) and assure the patient that bed rest will be imposed no longer than necessary.

Assist the patient to resume activity very gradually once asymptomatic at rest and indicators of acute inflammation have become normal.

Provide comfort measures.

Provide safe, supportive environment for the child with chorea.

Observe for the disappearance or any major or minor manifestations of the disease and report signs of increased rheumatic activity as salicylates or steroids are being tampered.